Vehicle Drop off

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Vehicle Drop off

Please Fill this form out to better help us help you!

If you are here for an inspection, tires, or any other services that require the removal of your wheels and you have a wheel lock, please make sure it's on the passenger seat for us. Otherwise we may have to charge for our time to find the key. Thank you in advance.

Is this your first time here? *

Yes

Was this a scheduled appointment? (Required) *

Yes

Option 3

First Name (Required) *

Last Name (Required) *

Phone Number (Required) *

Email - No we do not use this to spam you or sell to others.

Vehicle you brought here for service: Year Make Model Color is helpful too (Required) *

Select the services you would like to have performed (You can include the services you've already told us just to verify) (Required) *

Oil change

State Inspection & Emissions

Alignment

Tire rotation

Battery testing

Air Filter Replacement

Bulb Replacement

Other:

Required

If additional services are required, preferred method of contact: (Required) *

CALL

TEXT

Other:

Do you pre-authorize any repairs beyond your requested services without us contacting you? If so UP to and NOT to exceed: (Required) *

We do not authorize any services without prior authorization.

Yes up to $50

Yes up to $100

Yes up to $500

Yes up to $1000

Other:

Would you like us to contact you before we start any already requested work? (Required) *

Yes

If you are bringing your vehicle in for inspection/emissions have your insurance card and registration dropped in the slot with your keys. This prevents us from having to dig through your car to find it and possible additional charges for our time.

Have you verified both insurance and registration is current?

If you do not supply these documents, we are unable to do your inspection and we will automatically move onto the next vehicle and your vehicle may not get completed the same day.

Current registration and insurance provided

I can't find it. - I understand you won't start inspection until I get it for you

I will email it to you before my scheduled appointment to prevent delays

My registration is expired but I have an old one. Please renew it for me. I understand I will pay $5 for this service plus the cost of 1 year registration.

My insurance is expired. I will get you an updated copy prior to any inspection begins.

Other:

Do you have any additional concerns or any information that you can give us to help us with repairs? Any information helps us, you can't ever give us too much information!

Examples are:

"My car only makes the thumping noise when am going slow making a left turn from the right front"

"My steering wheel shakes when going between 40-60mph while driving on the highway"

"My steering wheel shakes when I'm coming to a stop"

"My car has a rattle when I start it first thing in the morning from the front of the car"

Thank you for choosing us as your preferred repair facility! Please Click Submit below to enter your responses!

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Brandon's Tire and Service LLC.

Does this form look suspicious? Report

Forms